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General NPI Number Information
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NPI Number | 1447051305
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Entity Type | Organization
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Legal Business Name | SAMARITAN MEDICAL CENTER
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 1308 WASHINGTON ST
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City | WATERTOWN
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State | NY
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Zip | 13601-4532
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Country | US
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Telephone | 812-954-6751
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Fax | 812-291-9612
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Provider Business Mailing Address
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Address Line | 1308 WASHINGTON ST
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City | WATERTOWN
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State | NY
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Zip | 13601-4532
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Country | US
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Telephone |
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Fax | 888-391-0053
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Authorized Official
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Title or Position | CEO
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Name | THOMAS HAROLD CARMAN
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Credential |
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Telephone | 315-785-4121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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